Medical Debating

1. When not to ?

1.1. Abuser

1.1.1. medications unrelated

1.2. very rude customer

1.2.1. you just give him the reply of the company as he will never value your debate and you cant lose a point in favour of him .

1.3. when you arent sure about the client telling the truth

1.4. you already made your one move and the insurance company says the same reply.

1.5. when your move is a lose - Lose

1.6. if the client can get the attachements needed even later.

1.7. if you think you are wrong or even doubtful , as it will make them frustrated thinking we debate in every situation even the wrong ones

2. if you couldnt

2.1. Ask a senior

2.2. Ask an account manager if this case should or shouldnt be approved

2.3. Ask for medical consult

2.4. finally if you couldnt at all , just send it as it is to the client following sorrow for not be able to get the approval .

3. How?

3.1. Making sure you are right

3.2. Talking in facts

3.3. Be simple as long writing makes them frustrated .

3.4. Dont be challenging

3.5. Finally if you are not 100 percent sure about your reply , ask another one as it is a one move only .

4. When?

4.1. VIP

4.2. Totally needed medication,labs or Scans

4.3. Insurane company is WRong